PELAPORAN

KINERJA

Performance and Campaign

HSSE Subholding Upstream
Juni 2021
 AGENDA

1 JENIS PELAPORAN

2 HORSE

3 CAMPAIGN

4 DISKUSI

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 LATAR BELAKANG

Dalam membantu
Pertamina Hulu Energi
menjalankan komitmen
PENGELOLAAN
selalu berkomitmen KINERJA HSSE
tersebut, HSSE SHU
untuk menjadikan HSSE
sebagai pondasi dan
melakukan pengawasan DI LINGKUNGAN
dan evaluasi kinerja
budaya dalam
HSSE di setiap Regional
SUBHOLDING
menjalankan bisnisnya UPSTREAM
dan afiliasinya

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 Dasar Pelaporan HSSE Performance

• Rujukan pelaporan Data HSSE Performance Subholding Upstream untuk saat ini :
• Pedoman No. A-001/S00100/2018-S9 tentang Klasifikasi dan Pencatatan Insiden, Pertamina Corporate
• Pedoman No. A-004/D00000/2018-S0 Revisi ke-0 tentang Pengelolaan Kinerja HSSE di Lingkungan Direktorat Hulu, dengan
periode pelaporan :
• Weekly, Monthly, Semester, Yearly
• TKO No. B7-001/S00100/2019-S9 Revisi ke-2 tentang Penyelidikan Insiden Kategori NOA (Number Of Accident), Pertamina
Corporate
• TKO No. B7-001/S00010/2019-S9 Revisi ke-0 tetang Pengelolaan Data Kinerja HSSE Pada Corporate Dashboard, Pertamina
Corporate
• TKO No. B8-001/PHE04000/2021-S9 Revisi ke-0 tentang TKO Pelaporan dan Investigasi Insiden

• STK terkait dengan pelaporan dan data HSSE Performance Subholding Upstream dalam proses review dan revisi untuk
disesuaikan dengan kondisi perubahan organisasi SHU saat ini.

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 JENIS DOKUMEN PELAPORAN

1 3 5
Weekly – Ketentuan
Monthly Corrective
Pelaporan
Performance Preventive
2 4 Kinerja
Report Action Report
HSSE SHU
Incident Laporan
Recapitulation SKK Migas

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 JENIS DOKUMEN PELAPORAN

1 3 5
Weekly – Ketentuan
Monthly Corrective
Pelaporan
Performance Preventive
2 4 Kinerja
Report Action Report
HSSE SHU
Incident Laporan
Recapitulation SKK Migas

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 Performance Weekly - Monthly Report (1)
WEEKLY - MONTHLY REPORT HSSE
Region/Zona/WK Name:
JAN FEB MAR APR MEI JUN JUL AGUS SEPT OKT NOV DES YDT
TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL
1 LAGGING METRICS
1,1 NoA (Fatality, Oil Spills >= 15 BB, Prop Dam >= USD 1 Mio, MVC-C)
Fatality 0 0 0 0 0 0 0 0 0 0 0 0 0
Property Damage (≥US$ 1,000,000) 0 0 0 0 0 0 0 0 0 0 0 0 0
Oil Spill (≥15 Barrels or Become National Issues) 0 0 0 0 0 0 0 0 0 0 0 0 0
1,2 RATE/FREQUENCY (IOGP)
Fatality Rate #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
LTIR #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
TRIR #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
MVAR #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
1,3 Incident Statistic
Fatality (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
LTI (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
RWC (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
MTC (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
HIPO (High Potential) 0 0 0 0 0 0 0 0 0 0 0 0 0
First Aid (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
Near Miss (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
Illness Fatality (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
Unsafe Condition (number) 0 0 0 0 0 0 0 0 0 0 0 0 0
At Risk Behavior (unsafe act) (number) 0 0 0 0 0 0 0 0 0 0 0 0 0
1,4 Oil Spill (Number of Case)
< 1 BBls (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
1 -< 5 BBls (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
5 -< 15 BBls (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
>= 15 Bbls (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
1,5 Property Damage (Number of Case)
< USD 10 Rb (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
USD 10 Rb -< USD 100 Rb (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
USD 100 Rb -< USD 1 Mio (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
>= USD 1 Mio (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
1,6 Fire Case
Fire 0 0 0 0 0 0 0 0 0 0 0 0 0
Explotion 0 0 0 0 0 0 0 0 0 0 0 0 0
1,7 MVC Case
MVC - K (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
MVC - B (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
MVC - S (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0
MVC - R (number of case) 0 0 0 0 0 0 0 0 0 0 0 0 0 Link File

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 Performance Monthly Report (2)
WEEKLY - MONTHLY REPORT HSSE
Region/Zona/WK Name:
JAN FEB MAR APR MEI JUN JUL AGUS SEPT OKT NOV DES YDT
TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL
1 LAGGING METRICS
1,8 Security Case
Pencurian Properti 0 0 0 0 0 0 0 0 0 0 0 0 0
Penghadangan / Blokade 0 0 0 0 0 0 0 0 0 0 0 0 0
Terorisme 0 0 0 0 0 0 0 0 0 0 0 0 0
Demonstrasi 0 0 0 0 0 0 0 0 0 0 0 0 0
Sabotase 0 0 0 0 0 0 0 0 0 0 0 0 0
Pencurian data 0 0 0 0 0 0 0 0 0 0 0 0 0
Pembunuhan 0 0 0 0 0 0 0 0 0 0 0 0 0
Penganiayaan 0 0 0 0 0 0 0 0 0 0 0 0 0
Penculikan 0 0 0 0 0 0 0 0 0 0 0 0 0
Perkelahian 0 0 0 0 0 0 0 0 0 0 0 0 0
Kerawanan/vulnerability 0 0 0 0 0 0 0 0 0 0 0 0 0
Kegagalan akses kontrol 0 0 0 0 0 0 0 0 0 0 0 0 0
2 LEADING METRICS
Management Walkthrough (MWT) 0 0 0 0 0 0 0 0 0 0 0 0 0
HSSE Safety Culture Improvement 0 0 0 0 0 0 0 0 0 0 0 0 0
HSSE Training 0 0 0 0 0 0 0 0 0 0 0 0 0
HSSE Meeting 0 0 0 0 0 0 0 0 0 0 0 0 0
Emergency Drill 0 0 0 0 0 0 0 0 0 0 0 0 0
3 MAN HOURS
3,1 Man Power
Employee (PWTT/Organik/PWT/Direct Contract) 0 0 0 0 0 0 0 0 0 0 0 0 0
Outsource (Non-Organik/TPC/TKJP) 0 0 0 0 0 0 0 0 0 0 0 0 0
Contractor (Service Contract) 0 0 0 0 0 0 0 0 0 0 0 0 0
Visitor 0 0 0 0 0 0 0 0 0 0 0 0 0
Total Man Power 0 0 0 0 0 0 0 0 0 0 0 0 0
3,2 Man Hours
Employee (PWTT/Organik/PWT/Direct Contract) 0 0 0 0 0 0 0 0 0 0 0 0 0
Outsource (Non-Organik/TPC/TKJP) 0 0 0 0 0 0 0 0 0 0 0 0 0
Contractor (Service Contract) 0 0 0 0 0 0 0 0 0 0 0 0 0
Visitor 0 0 0 0 0 0 0 0 0 0 0 0 0
Overtime 0 0 0 0 0 0 0 0 0 0 0 0 0
Tidak Produktif (Sakit, Cuti, Kecelakaan) 0 0 0 0 0 0 0 0 0 0 0 0 0
Total Man Hours 0 0 0 0 0 0 0 0 0 0 0 0 0
3,3 Safe Man Hours 0 0 0 0 0 0 0 0 0 0 0 0 0
4 KM Driven
KM Driven 0 0 0 0 0 0 0 0 0 0 0 0 0 Link File

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 PIRAMIDA INSIDEN UPSTREAM SUBHOLDING
YTD 31 Mei 2021

Fatality 0 0 0 0 0 0 0 0 0

DAFW/LTI
Day Away From Work 2 2 1 11 0 0 0 0 0
Lost Time Incident

RWDC 1
0 0 0 1 0 0 0 0
Restricted Work Day Case
1

MTC 8 1 2 4 1 0 0 0
Medical Treatment Case 8
33 5 2 22 4 0 0 0
First Aid 33 4 HiPo
(+6) (+5) (+1)
4
38 2 5 26 4 0 1 0
Near Miss 38 21HiPo
HiPo 93

UA / UC 372,930 32,102 56,072 95,520 81,376 1,989 101,631 4,240

Unsafe Act 372,930 41.922
(+11,679) (+1,399) (+2,358) (+532) (+1,319) (+51) (+5,861) (+159)
Unsafe Condition

KONSOLIDASI UPSTREAM TRIR Reg 1 Reg 2 Reg 3 Reg 4 Reg 5 PDSI Elnusa
SUBHOLDING
Aktual 0,07 0,15 0,26 0,08 0 0 0
1. Recordable Incident : 11 Batas 0,61 0,57 0,53 0,79 0,85 1,15 0,75
2. NoA :0
3. LTI : 2 (Actual) VS 0 (Tolerance)  YTD 31 Mei 21 Keterangan:
4. TRIR : 0,12 (Actual) VS 0.66 (Tolerance)  *YTD 31 Mei 21 • (+ ..) Merupakan penambahan dari periode minggu sebelumnya
5. HIPO :4 • Parameter LTIR diganti dengan TRIR sesuai dengan Surat Komisaris Utama No R-058/K/DK/2021 tanggal 23 Maret
2021 Perihal Arahan Dewan Komisaris terkait dengan Key Performance Indicators Tahunan Direksi Tahun 2021
6. Man Power : 74,564 /day YTD Apr’21
CONFIDENTIAL AND PROPRIETARY
7. Man Hour : 77,279,291 YTD Apr’21 Any use of this material (FOR PUBLICATION) without permission of VP HSSE SUBHOLDING UPSTREAM- PT PERTAMINA (Persero) is strictly prohibited.
 Overview HSSE Performance Region Periode Bulan Tahun

Fatality 0 0 0 0 0 Number of Major Total Recordable Follow Up

DAFW/LTI Accident Incident Rate Tindak Lanjut
Day Away From Work
Lost Time Incident
0 0 0 0 0 0.06

RWDC
Restricted Work Day Case 0 0 0 0 0 0.02 293

MTC 0
0 0 0 19
Medical Treatment Case
0 0 0 0 0 Realisasi Threshold Realisasi 2020 2021
Realisasi YTD Threshold Realisasi YTD
First Aid Feb 2020 2021 Feb 2021
YTD Feb 2021 YTD Feb
Close Open overdue
0 0 0 0 0 2020 2021

Near Miss
0 0 0 0 0 PROPER SUPREME Total Recordable
UA / UC
Incident Security
0K 0K 0K 23 23
Unsafe Act
Unsafe Condition
0K 0K
0 0 0
Oil Spill 6 6
0 1 2 1 Realisasi Threshold Realisasi
Property Realisasi Threshold Realisasi Realisasi Threshold Realisasi YTD Feb 2021 YTD feb
Damage 2020 2021 YTD 2021 2020 2021 YTD 2021 2020 2021

Reg.x Zone x Zone x Zone x Zone x

Highlight Incident Man Power Man Hours

1 Kategori: Judul, lokasi (Tanggal)

xxK xxM

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 Overview HSSE Performance Zona Periode Bulan Tahun

Fatality 0 0 0 0 0 0 0 0 0 0 0
DAFW/LTI
Day Away From Work
Lost Time Incident
0 0 0 0 0 0 0 0 0 0 0 Man Hours
RWDC
Restricted Work Day Case 0 0 0 0 0 0 0 0 0 0 0
MTC
Medical Treatment Case
0 0 0 0 0 0 0 0 0 0 0
First Aid Man Power
0 0 0 0 0 0 0 0 0 0 0
Near Miss
0 0 0 0 0 0 0 0 0 0 0
UA / UC
Unsafe Act
Unsafe Condition
0K 0K 0K 0K 0K 0K 0K 0K 0K 0K 0K Safe Man Hours

Oil Spill
Property
Damage
Highlight Incident
Zona 1 NSB NSO Rantau P. Susu Siak Kampar Lirik CPP Jambi JM Kategori: Judul,
lokasi, tanggal

Number of Major Total Recordable PROPER SUPREME Emission Total Recordable

Accident Incident Rate Reduction Incident Security

1 1
0 0 0
0 0 0 0 0 0 0
Realisasi Threshold Realisasi 0 0 0 0 0 0
Realisasi YTD Threshold Realisasi YTD YTD Feb 2021 YTD Feb Realisasi Threshold Realisasi Realisasi Threshold Realisasi Realisasi Threshold Realisasi Realisasi Threshold Realisasi
Feb 2020 2021 Feb 2021 2020 2021 2020 2021 YTD 2021 2020 2021 YTD 2021 2020 2021 YTD 2021 2020 2021 YTD 2021

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 JENIS DOKUMEN PELAPORAN

1 3 5
Weekly – Ketentuan
Monthly Corrective
Pelaporan
Performance Preventive
2 4 Kinerja
Report Action Report
HSSE SHU
Incident Laporan
Recapitulation SKK Migas

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 TEMPLATE REKAPITULASI LAPORAN INSIDEN
INCIDENT REPORT
What When Where Who How / Description
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Klasifikasi Tindakan Penanganan cepat

No Title Dampak Kategori Tipe Tanggal Waktu Regional Zona WK Field/ Lokasi Jabatan IP Usia IP Status Pekerja Sebelum Kejadian Pada Saat Kejadian
(WR/NWR) & Proaktif

Keterangan :
Kategori Tipe Klasifikasi
1. Injury 1. Fatality 16. Ketidak sesuaian bahan-bahan/produk/jasa 27. Pencurian (Security Incident) WR
2. Illness 2. LTI 17. Kondisi yang substandar 28. Perampokan (Security Incident) NWR
3. Oil Spill 3. RWC 18. Keluhan 29. Penghadangan/Blokade (Security
4. Property Damage 4. MTC 19. Kejadian di organisasi lain Incident)
5. Fire 5. First Aid Case 20. Kecelakaan diluar jam kerja 30. Pemogokan & Pengancaman (Security
6.MVC 6. Nearmiss 21. Kejadian yang menarik perhatian media Incident)
7. Security 7. Fatality Illness 22. Kebakaran dan Ledakan 31. Premanisme/Intimidasi/Pemalakan
8. Illness 23. Terorisme (Security Incident) (Security Incident)
9. Ketidakhadiran 24. Sabotase (Security Incident) 32. MVC -K
10. Penyimpangan Higienis 25. Pembakaran (Security Incident) 33. MVC - B
11. Property Damage 26. Perusakan (Security Incident) 34. MVC - S
12. Parameter proses yang melebihi ambang batas 35. MVC - R
yag ditentukan
13. Kerugian proses yang melebihi ambang batas
yang ditentukan
14. Kegagalan aset
15. Kejadian lingkungan yang tidak diinginkan Link File

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 JENIS DOKUMEN PELAPORAN

1 3 5
Weekly – Ketentuan
Monthly Corrective
Pelaporan
Performance Preventive
2 4 Kinerja
Report Action Report
HSSE SHU
Incident Laporan
Recapitulation SKK Migas

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 CORRECTIVE PREVENTIVE ACTION REPORT

CORRECTIVE PREVENTIVE ACTION REPORT

8-Apr-21

Finding Detail Completio Risk of

No Souces Subject Finding Photo (Before) Location Area Company PIC Division Prioritas Due Date Comment Closure Photo (After) Status Reason of Overdue Action Follow Up Overdue Remarks
Date Incident n Date Overdue
1 MWT 30 Agu 18 Terdapat barang-barang yang Gudang SKN PHE XXX Logistic SCM Medium 30 Sep 18 Membersihkan barang- Open
telah tidak terpakai berada di Manager barang hasil housekeeping
sekitar area lokasi produksi yang sudah terkumpul di High
dalam lokasi

Insiden Open

High

Rapat Open

High

Prepared by Reviewed by Approved by

(Name) (Name) (Name)

Title Title Title

Link File

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 JENIS DOKUMEN PELAPORAN

1 3 5
Weekly – Ketentuan
Monthly Corrective
Pelaporan
Performance Preventive
2 4 Kinerja
Report Action Report
HSSE SHU
Incident Laporan
Recapitulation SKK Migas

Health
Form
Safety
Form
Env.
Form
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 HEALTH FORM – SKK Migas

LOGO
LAPORAN KINERJA KESEHATAN KERJA KKKS

KKKS :
Bulan :
Wilayah Kerja :

KKKS Score
No. Health Criteria Description Status Nilai Kinerja Remarks
YTD
HRA implemented at all operating sites / areas and carried out by
1 Health Risk Assessment and Planning not available 2 2,0
certified personnel
Control of all health hazards in the workplace based on the results of
2 Industrial Hygiene and Control of Workplace Exposures not available 2 2,0
HRA identification and carried out by certified personnel
a.Develop the Medical Emergency Response Plan not available 2
b.Conducting Medical Evacuation Drill plan not available 2
3 Medical Emergency Management 2,0
c.First Aider personnel is available not available 2
d.Refreshment Training for First Aider not available 2
Access to medical facilities and medical team/occupational health
4 Management of Ill-Health in the Workplace not available 2 2,0
expertise at or around workplace
a.MCU is implemented for all workers not available 2
5 Fitness for Task Assessment and Health Surveillance b.FFT is implemented for high-risk workers not available 2 2,0
c.Health Surveillance is implemented not available 2
HIAs are initiated during the development stage of new projects and
expansions.
A health impact assessment (HIA) is a structured planning
6 Health Impact Assessment not available 2 2,0
and decision-making process for analysing the potential
positive and negative impacts of programmes, projects,
and policies on public health
a.Health reporting system for internal and external organization not available 2
7 Health Reporting and Record Management 2,0
b.Health records are maintained not available 2
a.Conducting health campaign not available 2
8 Public Health Interface and Promotion of Good Health b.Providing clean and healthy work sites (sanitation and domestic waste 2,0
not available 2
management)

Link File

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 SAFETY FORM
LOGO
LAPORAN KINERJA KESELAMATAN KERJA KKKS

KKKS :
Bulan :
Wilayah Kerja :

Month YTD KKKS Score

Karyawan IOGP
No. Data Kinerja Karyawan KKKS Total Keterangan Karyawan KKKS Karyawan Kontraktor Total Keterangan Month YTD
Kontraktor
1 Jumlah Tenaga Kerja Not available Not available Not available Not available Not available Not available - - -
2 Jumlah Jam Kerja Not available Not available Not available Not available Not available Not available - - -
3 Kecelakaan Kerja
3.a Kematian (Fatality)
3.a.1 num of event Not available Not available Not available Not available Not available Not available - - -
3.a.2 num of person Not available Not available Not available Not available Not available Not available - - -
3.b Hari Kerja Hilang (LWDC)
3.b.1 num of event Not available Not available Not available Not available Not available Not available - - -
3.b.2 num of person Not available Not available Not available Not available Not available Not available - - -
3.c Kerja Terbatas (RWDC)
3.c.1 num of event Not available Not available Not available Not available Not available Not available - - -
3.c.2 num of person Not available Not available Not available Not available Not available Not available - - -
3.d Perawatan Medis (MTC)
3.d.1 num of event Not available Not available Not available Not available Not available Not available - - -
3.d.2 num of person Not available Not available Not available Not available Not available Not available - - -
3.e Pertolongan Pertama (FAC)
3.e.1 num of event Not available Not available Not available Not available Not available Not available - - -
3.e.2 num of person Not available Not available Not available Not available Not available Not available - - -
3.f Illness Fatality
3.f.1 num of event Not available Not available Not available Not available Not available Not available - - -
3.f.2 num of person Not available Not available Not available Not available Not available Not available - - -
4 Kinerja Keselamatan Kerja
4.a a. Mining Incident Rate (MIR) Not available Not available 0,92 2 2
4.b b. Fatal Accident Rate (FAR) Not available Not available 0,82 2 2
4.c c. Fatal Incidents Rate (FIR) Not available Not available 0,72 2 2
4.d d. Lost Time Injury Rate (LTIR) Not available Not available 0,24 2 2
4.e e. Total Recordable Injury Rate (TRIR) Not available Not available 0,92 2 2
5 Kerusakan Fasilitas
5.a num of incident Not available Not available - - -
5.b USD Not available Not available - - -

Catatan :
Fatality (event) + LWDC + RWDC + MTC
Keterangan tambahan:
a. Mining Incident Rate (MIR) =
x 1 juta jam kerja 1. nilai "not available" berarti tidak memiliki data/ tidak dilakukan pengukuran/ tidak dilakukan pencatatan
Total Jam Kerja
b. Fatal Accident Rate (FAR) = jumlah kematian (orang) 2. nilai "0" berarti pengukuran/ pencatatan/ perhitungan dilakukan dan menunjukkan nilai 0 (nol)
x 100 juta jam kerja
Total Jam Kerja 3. kolom "month" diisikan data dari bulan pelaporan
c. Fatal Incidents Rate (FIR) = jumlah kecelakaan kerja fatal (event) 4. kolom "YTD" diisikan data kumulatif dari Januari tahun berjalan hingga bulan berjalan
x 100 juta jam kerja
Total Jam Kerja
d. Lost Time Injury Rate (LTIR) = Fatality(event) + LWDC
x 1 juta jam kerja
Total Jam Kerja
Fatality(event) + LWDC + RWDC + MTC + Illness Fatality
phe.pertamina.come. Total Recordable Injury Rate (TRIR) = Total Jam Kerja
x 1 juta jam kerja
HSSE SUBHOLDING UPSTREAM
*Apabila KKKS dapat membuktikan bahwa illness fatality bukan diakibatkan pekerjaan/lingkungan kerja pekerja tersebut, maka tidak dimasukkan dalam perhitungan TRIR Link File
 Environment Form

LAPORAN KINERJA LINGKUNGAN

LOGO KKKS

KKKS : KKKS score card:

Bulan : Month YTD
Wilayah Kerja : 2,125 2

Production Unit Month YTD

Oil ton - -
Gas ton - -
Condensate ton - -
Total ton - -

KKKS Report
KKKS Score
No. Criteria IOGP 2019
Month YTD
Measured unit Normalize unit Measured unit Normalize unit Month YTD
1 Environment Conformance na No Score (tidak mengikuti PROPER) Nilai PROPER KLHK No Score (tidak mengikuti PROPER) Hitam, Merah, Biru, Hijau, Emas No Score (tidak mengikuti PROPER) Nilai PROPER KLHK No Score (tidak mengikuti PROPER) Hitam, Merah, Biru, Hijau, Emas 2 2
2 Greenhouse Gas Emission 138 Not available ton Not available ton/(1.000 ton hydrocarbon production) Not available ton Not available ton/(1.000 ton hydrocarbon production) 2 2
2.1 CO2 123 Not available ton Not available ton/(1.000 ton hydrocarbon production) Not available ton Not available ton/(1.000 ton hydrocarbon production) 2 2
2.2 CH4 0,61 Not available ton Not available ton/(1.000 ton hydrocarbon production) Not available ton Not available ton/(1.000 ton hydrocarbon production) 2 2
3 Energy Consumption 1,5 Not available giga joule Not available gigajoule/(ton hydrocarbon production) Not available giga joule Not available gigajoule/(ton hydrocarbon production) 2 2
4 Flaring 10,6 Not available ton Not available ton/(1.000 ton hydrocarbon production) Not available ton Not available ton/(1.000 ton hydrocarbon production) 2 2
5 Produce Water 2 2
Quantity Oil Discharge in produce water
5.1 7,17 Not available ton Not available ton/(1.000.000 ton hydrocarbon production) Not available ton Not available ton/(1.000.000 ton hydrocarbon production)
(per unit production) 2 2
5.1.1 onshore 0,95 Not available ton Not available ton/(1.000.000 ton hydrocarbon production) Not available ton Not available ton/(1.000.000 ton hydrocarbon production) 2 2
5.1.2 offshore 13,01 Not available ton Not available ton/(1.000.000 ton hydrocarbon production) Not available ton Not available ton/(1.000.000 ton hydrocarbon production) 2 2
5.2 Produce water injection 2 2
5.2.1 Produce water generated na Not available bbls - Not available bbls - - -
5.2.2 Produce Water Injected 55 Not available bbls Not available % to total producewater generated (discharge + re-injected) Not available bbls Not available % to total producewater generated (discharge + re-injected) 2 2
5.2.3 Onshore - Produce water generated na Not available bbls - Not available bbls - - -
5.2.4 Onshore - Produce Water Injection 85 Not available bbls Not available % to total producewater generated (discharge + re-injected) Not available bbls Not available % to total producewater generated (discharge + re-injected) 2 2
5.2.5 Offshore - Produce water generated na Not available bbls - Not available bbls - - -
5.2.6 Offshore - Produce Water Injection 26 Not available bbls Not available % to total producewater generated (discharge + re-injected) Not available bbls Not available % to total producewater generated (discharge + re-injected) 2 2
non-aqueous base fluid retained on
6 6941 No Drilling ton No Drilling ton Not available ton Not available ton
cutting discharge to sea 3 2
7 Oil and Chemical Spills 2 2

7.1 Oil Spill >1bbls 2,39 Not available ton Not available ton/(1.000.000 ton hydrocarbon production) Not available ton Not available ton/(1.000.000 ton hydrocarbon production)
2 2
7.1.1 onshore 4,08 Not available ton Not available ton/(1.000.000 ton hydrocarbon production) Not available ton Not available ton/(1.000.000 ton hydrocarbon production)
2 2
7.1.2 offshore 1,03 Not available ton Not available ton/(1.000.000 ton hydrocarbon production) Not available ton Not available ton/(1.000.000 ton hydrocarbon production)
2 2
7.2 Chemical Spill >1bbls 0,37 Not available ton Not available number/1.000.000 ton hydrocarbon production Not available ton Not available ton/(1.000.000 ton hydrocarbon production) 2 2
7.2.1 onshore 0,6 Not available ton Not available number/1.000.000 ton hydrocarbon production Not available ton Not available ton/(1.000.000 ton hydrocarbon production) 2 2
7.2.2 offshore 0,26 Not available ton Not available number/1.000.000 ton hydrocarbon production Not available ton Not available ton/(1.000.000 ton hydrocarbon production) 2 2
8 Fresh water consumption 125,29 Not available m3 Not available m 3 /1.000 ton hydrocarbon production Not available m3 Not available m 3 /1.000 ton hydrocarbon production 2 2

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 PERFORMANCE AND CAMPAIGN HSSE SHU

1 3 5
Weekly – Ketentuan
Monthly Corrective
Pelaporan
Performance Preventive
2 4 Kinerja
Report Action Report
HSSE SHU
Incident Laporan
Recapitulation SKK Migas

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 KETENTUAN WAKTU PELAPORAN KINERJA HSSE SHU

Waktu
Pelaporan
YEARLY

Weekly Monthly Semester & Yearly Pelaporan ke SKK Migas

1. Pelaporan dilakukan masing-masing KKKS per Wilayah

Paling lambat tanggal 8
setiap bulan berikutnya.
Paling lambat hari Jum’at Jika Hari/Tanggal
setiap minggu pukul 12.00 Pelaporan bertepatan
WIB dengan tanggal merah
(libur), maka pelaporan
harus disampaikan 1
(satu) hari sebelumnya.
1. Laporan Semester :
Setiap tanggal 20 Juli dan 20
Januari
2. Laporan Tahunan :
Setiap tanggal 30 Januari
pada tahun berikutnya
kerja, disampaikan paling lambat tanggal 6 bulan
berikutnya.
2. Laporan yang disampaikan melewati tenggat waktu
akan dicatatkan pada kinerja bulan berikutnya
3. Pelaporan yang disampaikan meliputi seluruh kegiatan
operasi KKKS, termasuk aktivitas di lapangan dan
kantor serta kantor pusat (proporsional time sharing)
4. Periode pelaporan perbulan dimulai dari tanggal 1
hingga hari terakhir bulan tersebut.
5. Laporan disampaikan melalui alamat e-mail :
ioc@skkmigas.go.id

Keterangan:
• Laporan dikirimkan kepada : theresia.wulandari@pertamina.com; alfitri.yulharnida@pertamina.com dengan tembusan
diana.safitri@pertamina.com

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 HORSE

Performance and Campaign

HSSE Subholding Upstream
April 2021
 HORSE 4.1

Lagging Indicator Leading Indicator

Report Report Action
Investigation
Tracking

Summary

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 LAGGING INDICATOR
Lagging Indicator Parameter Lagging Indicator Parameter

• Date/Time • Date/Time
• Type • Potential Seriousness if occur
• Classification • Location
• Category • Location Status
• Location Status • Description
• Location
• Personnel Type
• Gender
• Work Relatedness
• Body Part Injured
• Description • Date/Time
• Date/Time • Accident Type
• Accident Type • Severity
• Severity • Estimated Loss (US$)
• Estimated Loss (US$) • Location
• Location • Location Status
• Location Status • Description
• Asset Owner • Date/Time
• Description • Tier
• Date/Time • Consequences
• Accident Type • Location
• Substance • Description
• Severity
• Quantity of Spill • Number Of Personnel
• Location • Normal Work Hour
• Location Status • Overtime
• Description
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 LEADING INDICATOR (1)

Leading Indicator Parameter Leading Parameter

Indicator

• Date/Time • Date/Time
• Topic’ • Type Of Meeting
• Type Of Training • Meeting Organizer
• Subject Competency Group • Number of Participant
• Number Of Participant • Place
• Training Participant • Meeting Summary
• Provider
• Training Duration
• Place
• Summary of Training
• Date/Time
• Drill Topic • Date/Time
• Place • Location / Area
• Description • Category Observed
• Need Help From Others
• Description
• Date/Time
• Organization • Project Info
• Location • Contractor Info
• Number of Attendance • Time
• Description • Risk Level
• Finding • HSSE Plan
• HSSE Supervisory
• %WIP Compliance
• Final Assessment

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 LEADING INDICATOR (2)
Lagging Indicator Parameter Leading Indicator Parameter

• Month • Date/Time
• Location • Location
• Type • Summary of Program
• Source
• Volume
• Date/Time
• Period • Dept. Initiator
• Location • Name of Event
• Type of Conservation / • Location
Reduction • Description
• Dept In Charge
• Number of Reduction / • Date & Time
Conservation • Auditor / Assessor
• Type of Assessment
• AMDAL/UKL UPL
• Name of Audit / Assessment
• Environmental Permit
• Location
• Waste water permit
• Recommendation
• Underground water permit
• Description
• Water Pollution Control
• Air Pollution Control • Monitoring Hazzard Rutin
• SA Report • Inspeksi Lingkungan Kerja
• Final Report • Awareness OH
• Layanan
• Pemberin Rekomendasi
• Pemeliharaan Peralatan
• Pengiriman TLD Badge
• Lain -lain
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 ANALYSIS
Lagging Parameter Reporting Leading Parameter Reporting
Indicator Rule Indicator Rule

• Investigation Number Mandatory • Departement Mandatory

• Mandate / Letter of • PIC Email
Assignment • Supervisor Email
• Team Member 1 Month After • Due Date
• Kick Of Meeting Accident • Priority
• Type of Event • Status
• Immediate Cause • Recommendation
• Basic / Root Causes • Picture (Before & After)
• Action For • Overdue Reason
Improvement • Overdue Impact
• Incident Report • Overdue Mitigation
Validation
• Final Report

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 CAMPAIGN
PROGRAM

Performance and Campaign

HSSE Subholding Upstream
April 2021
 ANALISA KEGIATAN/PROGRAM CAMPAIGN
Media Campaign
• Email Broadcast; ada 9 kategori informasi BC:
1. Sosialisasi Kebijakan Perusahaan
2. Acara / Event Korporat
3. Sosialisasi penting terkait dengan pekerja
4. Pemberlakukan Program Baru / Kebijakan Baru
5. Sosialisasi / Promosi Produk/ Program dari Departemen tertentu yang
melibatkan seluruh pekerja
6. Pengukuhan Jabatan Minimal level Vice President / General Manager
7. Kejadian Luar Biasa / Emergency
8. lnformasi tentang pencapaian keberhasilan Direktorat/ Departemen tertentu
9. lnformasi yang dikirimkan melalui mailing list tertentu

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 ANALISA KEGIATAN/PROGRAM CAMPAIGN

• Cetak/Digital

1. Buku, Majalah
2. Leaflet, Flayer, Booklet, dll
3. Poster
4. Banner: Roll Up, X-Banner, dll
5. Spanduk
6. Stiker
7. Dll sesuai kebutuhan event/kegiatan.

• PHE News;
Berisi ulasan berita standar news (5W+1H)
kegiatan/event yang dilakukan oleh fungsi di SHU.

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 ANALISA KEGIATAN/PROGRAM CAMPAIGN
• Video / Animasi
Contoh: Video Animasi Tips Kesehatan/ Keselamatan, dll

• Event / Kegiatan
1. Seminar
2. Talk Show
3. Bincang Sehat / Selamat / Lingkungan / Keamanan
4. Dll sesuai kebutuhan

• Alternatif Saluran Komunikasi Internal selain Broadcast (Medrel)

Social Media:
IG PHE

@phe.pertamina

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 Terima Kasih

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